Provider Demographics
NPI:1356539324
Name:YOUNGBLOOD, MORGAN LINDSAY (PHARM D)
Entity type:Individual
Prefix:MISS
First Name:MORGAN
Middle Name:LINDSAY
Last Name:YOUNGBLOOD
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:280 EXEMPLA CIR
Mailing Address - Street 2:CLINICAL PHARMACY ANTICOAGULATION SERVICE
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3370
Mailing Address - Country:US
Mailing Address - Phone:720-536-7913
Mailing Address - Fax:720-536-7940
Practice Address - Street 1:280 EXEMPLA CIR
Practice Address - Street 2:CLINICAL PHARMACY ANTICOAGULATION SERVICE
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3370
Practice Address - Country:US
Practice Address - Phone:720-536-7913
Practice Address - Fax:720-536-7940
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA023677183500000X
CO18194183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist